15 results
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... consultation with cardiology ... Diagnosis #Management #Workup
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
despite intensive medical ... low (1-2) risk, +ECG ... changes or troponin Medical ... Rx: NSTEMI/UA: stable ... catheterization #cardiology
Practice Guidelines for Preoperative Fasting

Infographic by Dr. Jesse Burk-Rafel
@jbrafel

> 8 hours - Heavy foods (fried/fatty) and
hours - Light meal ... (e.g., toast + ... clear liquids (e.g ... Anesthesiology. 2017 ... Fasting #Guidelines #Anesthesia
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
complications from anesthesia ... Medical history ... indicated • EKG ... Obtain EKG if: ... one post op Cardiology
Replacement Heart Valves - Mechanical and Bioprosthetic
Mechanical Valves:
 • Ball and Cage Valves: Hufnagel Caged Ball
Bileaflet Valves: St ... Jude Medical (1978 ... Bioprosthesis: (2002 ... Bioprosthetic #comparison #table ... #thoracic #cardiology
Cardiac Arrest - Guidelines for Crises in Anaesthesia

The probable cause is one or more of: something
patient’s underlying medical ... senior on-call / dial ... • Check ECG rhythm ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
for Crises in Anaesthesia ... Check serial lactates ... cultures if possible (eg ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup
Intraoperative  Bradycardia - Guidelines for Crises in Anaesthesia
Bradycardia in theatre should not be treated as
for Crises in Anaesthesia ... known drug causes (eg ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup ... #Cardiology
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
for Crises in Anaesthesia ... alternate vasopressor (e.g ... as patient is stable ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup
Benign T-wave Inversion (BTWI) vs. Wellens'
 • Usually in leads V3-V6 (vs. V2-V4 in Wellens'), but
precordium often has STE ... are generally stable ... Inversion #BTWI #EKG ... #ECG #diagnosis ... #cardiology #electrocardiogram